Consumer behavior analysis Essay Example | Topics and Well Written Essays - 500 words

Consumer behavior analysis - Essay Example A company can come up with a reward system. The reward system will reward customers who make consistent purchases and customers who will make referrals to their friends. A company can come up with smart cards, which the customers should use when making their routine purchases. In such a situation, the company will determine the customers who always purchase their brand. The customers can be awarded rewarded with reward points, which they can redeem in the future. A company can also use the reward system to award the loyal customers with gifts on special occasions such as public holidays. The gifts can act as a token of appreciation and they can be used to encourage the customers to continue purchasing the company’s products. The other way in which the reward system can work can work is by the company coming up with a feedback system. The feedback system will ask the new customers where they got information about the company. If the information came as a referral, the new customer and the customer who made the referral are rewarded by the company. The system will encourage the customers to talk more about the products of the company. The system will be beneficial to both the customer and the company. The company will benefit from the increased sales while the customer benefits from the reward points that should be redeemable. The other problem that companies are facing is changing the detractors to passives and passive to promoters. That is the hardest task because the perception of a customer is based on his or her mindset. The company can run training programs that should be aimed at informing customers on the advantages of using the company programs. That may include the use of the company products and the reason as to why the company products are better as compared to the competitor’s products. The training program can be done in the form of adverts. The adverts can be used to illustrate the usage of the company.

Marketing Myopia and article critiques Essay Example | Topics and Well Written Essays - 1000 words

Marketing Myopia and article critiques - Essay Example Levitt spoke of the ‘Error of Analysis’ whereby, the company defines its scope inaccurately and is unable to grow because it has restricted itself. Companies tend to stop growing, not because of fall in demand or increased competition, but because they were mismanaged and failed to realize their own potential and the opportunities that would have come with it had they managed themselves properly and expanded their horizons, instead of having a very myopic view about their business. He gives the example of the railway, which has steadily declined over the years as other vehicles become mainstream transport. This failure is not because the demand for rail travel declined, it is because they had a â€Å"product-oriented instead of customer-oriented† approach (Levitt, 1960). In the same vein, the TV business is bigger than the film business ever was, just because Hollywood restricted itself to movies by categorizing itself as being in the film business and not the ent ertainment business and massively restricting its horizons. To explain the reverse side of the argument, TV is a success story because it has not restricted itself to one category. ... Levitt talks of the ‘Shadow of Obsolescence’ whereby companies stop growing once their products lose the sparkle, this often happens when a specific feature of their product that was supposed to have been bringing in the demand, becomes outdated and easily substituted by competition with time. He gives the example of the dry cleaning industry. Once thriving because it provided an effective way to clean wool garments, the industry is now dwindling as synthetic fibers replace wool, ones which are easier to clean and the dry cleaning industry becomes obsolete due to innovative products such as automatic washing machines. Another mistake is the ‘Population Myth’ whereby companies assume that a growing population is synonymous with a growing market demand and the ‘Idea of Indispensability’ whereby companies think they are safe from competition because their product is irreplaceable. This lulls them into a false sense of security and they end up funct ioning under a complacent strategy. An example of this scenario is the petroleum industry; due to its elaborate success throughout its history the petroleum industry has become complacent in its strategy and assumes safely that as long as the world’s population keeps growing, its customer base will forever increase. Complacency however, makes the industry myopic to the fact that many people are now becoming environment conscious and are interested in adopting alternative forms of energy that do not pollute, unlike petroleum products. Another mistake is due to ‘Production Pressures’, since companies are so engrossed in meeting production quota deadlines they lose focus of their

Product and Service Marketing Analysis Essay Example for Free

Product and Service Marketing Analysis Essay Product and service marketing are highly related. Take the success of a company like Apple, for example. The technology giant operates nearly 400 retail stores, employs more than 42,000 people and hosts more than a million visitors each day. In 2012, Apple’s retail operations generated nearly $19 billion. Furthermore, it’s estimated that Apple’s Fifth Avenue store generates more than $35,000 per square foot, making it the highest grossing retailer in New York – ever. Those statistics reinforce the company’s product and service strategies of those of a highly successful company. Apple continues to hold a number one spot on a list of the world’s most admirable companies. However, the success of Apple hasn’t always been so great. It wasn’t until the company combined good products with good services, that profits increased exponentially. Slide 12-12: Service Differentiation Apple actually had a point in business in which it struggled. That was in the 1990s when the company was selling products through larger retailers such as CompUSA and Sears. It was then, that Apple computers were shoved to the side, out of the main view of customers, as just another computer brand available on store shelves. Apple employees didn’t pay enough attention to the installation of the product in the big box stores in which it was being sold, so there wasn’t a true selling point for buyers. Also, the product delivery took a major hit. In fact, the brand became so weakened when retailers did not market the products properly, that the inventory wasn’t fully stocked. While Apple products plummeted in sales, the Gateway company was offering direct sales to consumers in its own stores, and Apple had to reinvent its business model, and quickly learn how to operate in a different manner. Less than two years after Apple launched its retail stores, Gateway shut down all of its shops and laid off 2,500 workers. Only three years later, CompUSA closed its chain of 23-year-old stores as well. Apple went against much of the advice it had received, and clearly the company was doing something right. Apple created retail stores that offer more than just a product. The stores offer a shopping experience that consumers often give raving reviews on. That includes ordering ease, smooth delivery, clear installation, the right customer training and consulting, and simplified maintenance and repair. Slide 12-11: Product Differentiation Apple Stores are now the highest performing stores in retail history. This isn’t due to just good in-store and online service. The products typically set the bar among all other technology products offered in the industry. Many Apple products come with customizable features based on a customers wants and needs. That includes hard drive and disk space, all the way down to the detail of an optional custom engraving on a product. In addition to the features, Apple products are known to hold superior performance quality. Sure, the products aren’t cheap, but typically when a customer buys an Apple product, they know that product will pay for itself over time. Slide 13-5: Categories of Service Mix When you’re dealing with a product that Apple designs and sells, it’s typically a highly technological device. That tangible good brings on accompanying services. The more advanced the product, the greater the need for those high-quality supporting services. When a customer goes into an Apple store looking for a new computer or an iPad, there’s a chance they don’t know how to maximize its use to its full capability. Apple found a way to assist costumers, so they can learn about the devices they’re purchasing for free. Employees at each Apple retail shop hold free workshops for consumers to teach the basics. In addition to workshops, customers can sign up for one-on-one training sessions to dig even deeper into their product’s capabilities. Slide 13-6: Service Distinctions These services offered by Apple require the client’s presence; therefore employees need to be considerate of the consumer’s needs. That is why Apple is known for hiring â€Å"customer-obsessed, empathetic employees.† Apple cofounder Steve Jobs offered a unique insight about how consumers interact with technology. Jobs said often the problem was that consumers are limited to thinking in terms of only what they know, instead of what is possible. Jobs once said that one of the keys to Apple is that the company builds products that turn the employees on. That is certainly to the benefit of the customers, that it â€Å"often means products are exactly what they want because Apple employees are so deeply entrenched in and committed to the customer’s experience.† Slide 13-8: Distinctive Characteristics of Service While many consumers know the physical products Apple offers are those of high quality, the company has made it a point to â€Å"manage the evidence,† and â€Å"tangibilize the intangible.† In doing so, Apple had to create stores that have a clean layout, in which traffic flows steadily, have employees that are busy, but they can still manage the workload, have equipment that is state of the art, have a symbol that suggests quality in both product and service, and finally, has a reasonable price for service. We already know that Apple services are offered for free, the company’s logo is iconic, and that the equipment is top notch. So, Apple’s stores had the main focus of a clean layout and employees readily available, yet still busy. When a customer walks into an Apple store, the aesthetics are clean and well thought out. Each product is on display for testing use, and the floors, walls, and counter spaces are clean and tidy. In addition to that, carefully recruited and trained sales associates are encouraged to take customers on a â€Å"ride.† They give each willing customer a short, informative tour of the space to be able to have a conversation and connect with each and every visitor. Then, of course, there’s the offering of support for each customer, which is just another delight to those who shop at Apple. The end result of Apple’s mix of product and service marketing combined is certainly one of success. Apple has the highest retail sales per square foot than any other U.S. retailer. The stores average more than $6,000 per square foot, which is more than twice the former gold standard Tiffany Company. That success did not come with quality products alone, but quality product marketing coupled with quality service marketing. The company’s marketing strategy is unique, but the company figured out how to attract and retain customers, generate an extremely large amount of word-of-mouth and brand appeal to give it a huge competitive advantage. Works Cited Chazin, S. (2013). The Retail Secrets of Apple. Retrieved from http://www.marketingapple.com/marketing_apple/2013/01/the-retail-secrets-of- apple.html on 07/23/2013. DuBois, S. (2011). World’s Most Admired Companies. Retrieved from http://money.cnn.com/magazines/fortune/mostadmired/2011/snapshots/670.html on 07/23/2013. Kotler, P; Keller, L (2011). Marketing Management (14th ed). Upper Saddle River, NJ: Prentice Hall. Moorman, C. (2012). Why Apple is a Great Marketer. Retrieved from http://www.forbes.com/sites/christinemoorman/2012/07/10/why-apple-is-a-great-marketer/ on 07/23/2013.

Mental Health Effects Of Exercise Health And Social Care Essay

Mental Health Effects Of Exercise Health And Social Care Essay Objectives: To determine the mental health effects of exercise for people with anxiety disorder, affective and mood disorder, and substances use disorder. Search Strategy: Clinical trials on anxiety disorder, affective and mood disorder, and substances use disorder (August 2010) were searched based on Cochraine, MEDLINE, PsycINFO, PsycheArticles, Sport Discuss, and PubMed database. References from relevant papers were also inspected. Selection Criteria: All randomized controlled trials comparing any intervention where physical activity or exercise was considered to be the main or active ingredient with standard care or other treatments for people with anxiety disorder, affective and mood disorder, and substances use disorder. Data Collection Analysis: Citations and abstract were inspected and the quality is assessed, and the data were extracted. Main result: Ten randomized clinical trials met the inclusion criteria. Trials assessed the effects of exercise on physical and mental health for affective/mood and anxiety disorder, also the consumption change on illicit drugs and alcohol. Overall number leaving the trials were 60%). Exercise effect is higher than standard care alone or adjunct treatment with meditation. Exercise dose differs for underlying fitness level, physical wellbeing, and age. Green environment act as catalyst while smoking behavior block the fitness outcome. BACKGROUND There are about 450 million people suffered from mental and behavioral disorders worldwide. One person in four will develop one or more of these disorders during their lifetime [1]. Mental disorders contribute to almost 11% of 1996 disease burden worldwide and it is predicted that it will increase up to 15% in 2020 [2]. By looking at local context, almost half of Australian population experience mental illness at some point of their lifetime [3], which contribute 13.3% of the total country burden of disease and injury in 2003 [4]. A good mental health enable individual to handle day-to-day events and obstacles, work on their goals, and function effectively in society. Minor disturbances in mental health could with delay early intervention will not only a suffered to the individual but also a burden to their families and society considerably. The economic and personal costs of mental illness are also the major concerned in social and public health. Exercise was believed to enhance individuals ability to cope with and manage their mental disorder apart from its well documented physical health benefit. Improved quality of life is particularly important for individuals with severe and enduring mental health problems as exercise may alleviate depression, low self-esteem and social withdrawal.   Mental disorder is usually determined through clinical diagnoses using the ICD10 or DSM-IV criteria. In Australia, anxiety disorder, affective and mood disorder and substances abuse are the main mental disorder in this country [3] thus will be used in this review. Description of the condition Anxiety Disorder Anxiety disorders are a group of illnesses characterized by persistent feelings of high anxiety, extreme discomfort and tension which will significantly interferes with their daily life. Its often come out of the blue and presented with intense physical symptoms such as breathlessness, palpitations, sweating, trembling, feelings of choking, nausea, abdominal distress, dizziness, pins and needles, feelings of losing control and/or feelings of impending doom[4]. Anxiety disorders also affect the way a person thinks, feels, and behaves. There is different number of anxiety disorders which include panic disorder, agoraphobia, social phobia, generalized anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder, which most often begin in early adulthood and common among women than men [5, 17]. It is reported that lifetime prevalence of total anxiety disorder was 10.6% 16.6% [23]. Affective Disorder Affective disorder characterized by dramatic changes or extremes of mood which include manic or depressive episodes, and often combinations of the two. They may or may not have psychotic symptoms such as delusions, hallucinations, or other loss of contact with reality [9]. This disorder could be categorized into depression, dysthymia, mania, hypomania, and bipolar affective disorder [5]. For lifetime prevalence, the corresponding pooled incidence rates were 6.7 per 100, 3.6 per 100, and 0.9 per 100 for respective major depressive disorder (MDD) dysthymia disorder and bipolar I disorder categories [16]. Substance use disorder Substance use disorder refers to mental and behavioral disorder resulting from psychoactive substance use such as alcohol, opoids, others stimulants, hallucinogens, tobacco and volatile disorders [5]. The focus of this paper will look at the study on alcohol and illicit drugs. In the short term, the individual may perceive these effects as quite desirable however, prolonged and heavy usage may result in physical harm, dependency, and withdrawal problems and long term psychological damage or social harm. This will leads to intoxication, harmful use, dependence, and psychotic disorders [5]. Harmful use is diagnosed when damage has been caused to physical and mental health. Dependence syndrome involve strong desire to take substance and difficulty in control the use, physical withdrawal, tolerance, neglect of alternative pleasure and interest, and persistent use despite harm to self and others. Point prevalence of alcohol use disorder has been estimated to be around 1.7% globally, which higher rate among men 2.8% to women 0.5% [18]. While, the burden attributable to illicit drugs was estimated at 0.4% of total disease burden, and economic cost of this harmful drugs dependents and use in the United State has been estimated to be USD98 billion [22]. Exercise and mental health There is no single mechanism has yet been found to adequately explain the diverse range of mental health effects possible through physical activity participation. The plausible mechanisms for psychological change through physical activity and exercise fall into one of three broad perspectives as explained by Mutrie (2003) where there is biochemical changes such as increased levels of neurotransmitters; physiological changes such as improved thermo-genesis, muscle and cardiovascular function and, suggested psychological changes such as social support, sense of autonomy, improved perceptions of competence, enhanced body image, self-efficacy and distraction. Important of review There is a growing recognition that physical activity can enhance mental health (Faulkner 2005). Regardless by this fact, there is still limited evidence to suggest the effects of exercise on anxiety disorder, affective and mood disorder, and substances abuse reported in the population characterized by these mental illnesses. The purpose of this review is to focus specifically on methodologically rigorous trials in updating current consensus concerning the potential role of exercise in improving the mental health of individuals with anxiety disorder, affective and mood disorder, and substances use disorder. OBJECTIVES To determine the mental health effects of exercise programmes for people with anxiety disorder, affective and mood disorder, and substances use disorder, and factors that enhance the effect. METHODS Types of participants Clinically diagnosed adult (aged 17 and above) with diagnosed anxiety disorder, affective and mood disorder, and substances abuse using any criteria, with any length of illness and in any treatment setting. Types of interventions Physical activity or exercise will be the main or active elements intervention studied in this review. As a result of most clinical subjects is under treatment, intervention in conjunction with others will be considered as well. Only interventions which address mental health outcome of exercise, its dosage, and factors attribute to effectiveness will be included. Others exercise study that potentially discussed the outcome of enhancing physical exercise intervention on mental health status will also will be included for prospective review. Types of outcome measures Outcomes were groups according to assessments of mental and physical health, and were grouped by different disorders, factors attribute to effectiveness, and dose exposure outcome. The primary outcome will be mental state score. Search methods for identification of studies Search is restricted to English literature will be used as more time is needed for paper translation. Electronic searches The MEDLINE, PsychInfo, PsychArticles, PubMed, Cochrane, SportDiscuss, SAGE, Springerlink, and JSTOR articles and journal databases (August 2010) were searched using the phrase : [(physical* and (therap* or intervention)) within the same field of title, abstract or index term fields) or ((fitness* or sport* or gym* or exercis* or * danc*) in title, abstract and index fields Reference) or (*exercise* or danc* or physical act* in interventions field in Study)] and also different phrases for disorder studied is added in term, reference and study field: anxiety disorder (panic disorder*or agoraphobi*or social phobi* or generalized anxiety disorde* or obsessive-compulsive disorde*or post-traumatic stress disorde*), mood or affective disorder (depressio*or dysthymi*or mani*or hypomani*or bipolar affective disorde*), and substance use disorder (alcoho*or cocain*or heroi*or ampletamin* or illicit dru*). Data collection and analysis In the selection process, abstracts of research papers were independently assessed by the searches for relevance. When abstract was unclear and disagreements occurred, the full report is required and the assessment process repeated. With resolved disagreement, data is extracted from each study and even from unpublished source for the purpose of this review. Studies are then independently assessed for its methodological quality base on sequence generation; allocation concealment; blinding; incomplete outcome data; selective reporting of the results; and any other biases identified. The standard Risk Ratio and Odd ratios at 95% confidence interval (CI) will be used as interpretation of treatment effect. As a result of continuous data outcome in mental health trials are often not normally distributed, criteria for inclusion is used where the standard deviations and means for the endpoint measures on rating scales is obtained and the standard deviation (SD), when multiplied by 2 had to be less than the mean [19]. Even though some degree of loss to follow up data must lose credibility [19], all trial in the main analysis will be included all. Only study with outcome of more than 50% participation will be interpreted. RESULT Results of the search There are about 264 electronics reports inspected and of these, 254 studies were excluded on the basis of their abstracts. Ten randomized controlled trials (Carta 2008; Jerome 2008; Oeland 2010; Doyne 1987; Kenzor 2008; Murphy 1986; Sinyor 1982; Merom 2007; Ng 2007; and Brown 2010) were included in this review. Additional 6 studies (Mackay 2009; Jokela 2010; van Hauvelen 2006; Perrino 2009; Brown 2005; and Tart 2010) were included for prospective view on exercise effectiveness factors that could be used for implementation of study. Included studies We included ten randomized controlled trials (Carta 2008; Jerome 2008; Oeland 2010; Doyne 1987; Kenzor 2008; Murphy 1986; Sinyor 1982; Merom 2007; Ng 2007; and Brown 2010). All studies have been published since 1982 which illustrates growing attention to the role of exercise as a form of adjunct therapy for the focused mental illnesses. One study (Merom 2007) investigated the effects of an exercise programme on anxiety disorder where brisk walking exercise and others exercises were implemented. The 8 -10 weeks program lengths, with exercise dose of >30 minutes duration, done five times per week have shown a remarkable decrease of anxiety among patients in the intervention group. Compare with others mental illness studies; there are numerous studies on affective and mood disorder. Reviewed studies shows that exercise does work to reduce depression and anxiety in bipolar patients with just one hour per week of simple group brisk walk exercise for 8 months lengths (Carta 2008); and for major depression patient, the positive outcome were observed after 150 minutes per week group walking for 8 week length program. Greater total time exposure will give better significant outcome for bipolar patient (Ng, 2007) and the severity of affective/mood psychiatric problem does not influence the exercise outcome (Jerome, 2008). Oeland et al (2010) have demonstrate that, increased in physical activity will tremendously leads towards better body physiology changes among these patient. Their depression level were found to have further decrease with high level intensity exercise compare to low density exercise at equivalence dose (4 times per week with 60 minutes duration) of e xposure (Doyne 1987). The main outcome measured for Drugs and Alcohol use disorder is the percent day abstinence (PDA). Structured group exercise were found leads towards better PDA outcome as adjunct therapy for drugs addicts and alcoholic patients (Murphy 1986; Sinyor 1982; Brown 2010) at the minimum of 8 weeks intervention (Murphy, 1986) to 12 months intervention(Sinyor 1982). The effective dose reported in these studies is 20-70 minutes exercise routine for the least once a week. Unstructured exercise has demonstrated lower outcome in Kendzor (2008) and Sinyor (1982) studies, verified by their respective intervention group and control group outcome. 1. Methods: All trials were randomized. The duration of the trials ranged between 8 weeks (Murphy 1986) and 24 months (Ng 2007). 2. Participants: All trials included people diagnosed with anxiety disorders, affective or mood disorders, and alcohol or drugs use disorder using DSM-IV criteria (Carta 2008; Jerome 2008; Oeland 2010; Doyne 1987; Kenzor 2008; Murphy 1986; Sinyor 1982; Merom 2007; Ng 2007; and Brown 2010). Only one study does not use in- or outpatients (Murphy 2007). Participants ranged in age from 18 to 80 years. 3. Setting: Three studies were conducted in community centre (Kendzor 2008; Murphy 1986; Sinyor 1982), one offered in the university (Doyne 1987), and the rest is offered in and outpatient services. 4. Study Size: The smallest sample size is 16 participants (Brown 2010) and the largest number of participants in sample is 620 people (Kendzor 2008). 5. Interventions: All study using exercise as their main activity used to measured the outcome. The experimental conditions identified in each of the included studies differed in exercise duration and intensity. The exercise activity intensity are from a simple walking to high intensity supervised structured aerobic exercise. Most selected studies implement consistent duration of exercise 20-60 minutes five times per day for the least 8 weeks. Only well structured supervised intervention implements increase intensity (Sinyor 1982; Brown 2010). All exercise programmes were in addition to participants usual care except intervention in Murphy, Pagano and Marlat (1986) study. 6. Control interventions: Standard care: Participants continued with their usual treatment in Carta 2008, and addition with Group Cognitive behavior therapy and just education benefit of exercise for Merom 2007, Oeland 2010, Doyne 1987, Kendzor 2008, Sinyor 1982 and Brown 2010. There are two control groups in Murphy, Pagano Mariat (1986) study which one group in meditation intervention while the others were not in either exercise or meditation. These participants were university student not with any treatment for excessive alcohol intake. Only Ng 2007 does not implement control in their intervention. 7. Outcomes: Depression Anxiety Stress Scale (DASS-21) is a 21 item self report questionnaire designed to measure the severity of a range of symptoms common to both Depression and Anxiety. Each item is scored from 0 (did not apply to me at all over the last week) to 3 (applied to me very much or most of the time over the past week). Merom 2007 and Ng 2007 used this scale. World Health Organization Quality of Life BREF Version (WHOQOL-BREF) is scale to assesses physical health, psychological, social relations and the environment on a five-point scale where 1 = poor QofL and 5 = good QofL. Carta 2008 and Oeland 2010 use this scale. The Clinical Global Impression Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patients illness at the time of assessment, relative to the clinicians past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness at the time of rating 1=normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. Ng 2007 used this scale. The Clinical Global Impression Improvement scale (CGI-I) is a 7 point scale that requires the  clinician  to assess how much the patients illness has improved or worsened relative to a baseline state at the beginning of the intervention. Rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. Ng 2007 used this scale. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a screening battery designed to measure attention and processing speed, expressive language, visual-spatial and constructional abilities, and immediate and delayed memory.  Jerome 2008 used this measurement for to records schizophrenic patient activity. Symptoms Checklist-90 (SCL-90) is used as a screening measure of general psychiatric symptomatology. It includes dimensions measuring somatization, obsessive-compulsive, depression, anxiety, phobic anxiety, hostility, interpersonal sensitivity, paranoid ideation, and psychoticism. This was used by Jerome 2008 Center for Epidemiologic Studies depressive scale (CES-D) is a short self-report scale designed to measure depressive symptomatology in the general population. The items of the scale are symptoms associated with depression which have been used in previously validated longer scales.  It was found to have very high internal consistency and adequate test- retest repeatability. Validity was established by patterns of correlations with other self-report measures, by correlations with clinical ratings of depression, and by relationships with other variables which support its construct validity. This was used by Jerome 2008. Beck Depression Inventory  (BDI) is a 21-question  multiple-choice self-report inventory, used for measuring the severity of  depression from a psychodynamic  perspective. In its questionnaire is designed for individuals aged 13 and over and composed of items relating to symptoms of depression such as hopelessness and irritability, cognitions such as guilt or feelings of being punished, as well as physical symptoms such as fatigue,  weight loss, and lack of interest in sex. Used by Doyne 1987 and Kendzor 2008 Figure1: Methodological quality summary: review authors judgments about each methodological quality item for each included study. Adequate Sequence Generation Allocation Concealment Blinding? Incomplete Outcome data addressed Free of Selective Reporting Free of Others Bias Merom et al 2007 + + + ? + Carta et al 2008 + + + + + Ng et al 2007 + ? ? + Jerome et al 2008 + + + + Oeland et al 2010 + + + + + + Doyne et al 1987 + + + + + Kendzor et al 2008 + + ? ? Murphy et al 1986 + + + + + Sinyor et al 1982 + + + + Brown et al 2010 + + ? + Risk of bias in included studies Allocation: All study reported as randomized. Blinding: None of the studies were double-blinded. The reported results may exaggerate estimates of treatment effect and None of the studies reported any test of blinding Incomplete outcome data: Most of the studies have withdrawal from the sample population as the highest reported were in Sinyor (1982) study which around 60% remains in the study, which were due to self withdrawal from being participant after undergone first phase of treatment. Selective reporting: Most study report the mean and standard deviation. Others source of bias: most of the study have tendency of selection bias, measurement bias and error due to effect of confounding especially effect of group therapy and regular undergone treatment. DISCUSSION Ten studies were included in this review. Overall, these studies showed that exercise therapy can have an impact on mental health outcomes like mental state and general functioning with no adverse effects. There are various studies looking at the impact of exercise towards anxiety in non-clinical samples using DASS and SCL-90 questions tools, which were excluded for reviews apart from the reason of its non-clinical trial study design. Compare to usual treatment alone and GCBT, prolonged and frequent exercise conducted in group for at least 8 weeks were significantly effective in reduce anxiety, depression and stress among patients diagnosed with generalized anxiety disorder, panic disorder, and social phobia. Similar effect was observed for bipolar disorder and major depression in addition to their usual treatment, regardless of the psychiatric condition severity and exercise intensity (Jerome 2008). Clinical trials have shown high day abstinence from drugs and alcohol best occurs in well structured, high intensity group exercise among alcoholic and drugs addict, in addition to their usual treatment for the problem. Kendzor 2008 study has demonstrated there was no effect of individual low density physical activity towards reducing the heavy drinking habit. We could conclude that, the minimum effective dose for exercise to mental status is 40-60 minutes session, repeated 3-5 times per week for continuous 8 weeks duration. This dose works for low endurance brisk walking exercise with a proper warming up session. Increases in exercise intensity will give better physical fitness, and ideal weight management. Type of exercise, its intensity, and dose is modified base on underlying fitness level and age (Jerome 2008; Jokela 2010; van Hauvelen 2006; Perrino 2009). Others factors that could affect exercise effectiveness is the exercise environment. Mackay Neill 2009 study shows that there is significant relationship between anxiety changes and green environment. Exercise intensity works for depression (Brown 2005; Jerome 2005) and substance use disorder (Sinyor 1982; Brown 2010) but not for anxiety (Mackay Neill 2009). It is found that smoking behavior will delay exercise fitness effect (Tart 2010). AUTHORS CONCLUSION Implication of practice People with mental illness The results of this review indicate that there are various benefits of exercise to individuals with anxiety disorder, mood and affective disorder, and substance use disorder, which can improve components of mental health by participating in structured group exercise. Limited number of studies on proper intensity and dose of exercise towards the improvement of mental health for the different population group and underlying psychiatric problems has cause difficulties for medical practitioner to come out with clear guidance to the patient. Physician, physiotherapist, professional physical trainers, and health educator should be consulted for better support and advice towards implementing exercise as treatment intervention. It is clear from this study that, exercise works as adjunct therapy for identified psychological problems and high intensity exercise work for substance abuser and depression patient. The best effect of exercise is that it conducted in group and being supervised. Pati ent with anxiety does responds to high intensity exercise but the effect is not much different compare to low intensity exercise. Current guidelines for lifestyle activity and exercise appear do not really work for the justified mental disorders. Therefore, accumulating 40-60 minutes of proper physical activity on most or all days of the week is a good guideline. This should be continued for minimum of 8 weeks for a better mental status outcome. Cessation of smoking will further ensure better health benefit. For physician, health educator, physiotherapist and professional physical trainers Regular exercise is known for its physical, mental, and social benefits. It is a multidimensional approach that requires physician, health educator, physiotherapist and professional physical trainers to ensure patients to become and staying active for its physical and psychological benefit. Proper information guidelines to patients are essential in the long run. Health practitioners should also be equipped with this latest information and as well emphasize on the safety of intervention to avoid negative effect of exercise especially muscle injury if not properly done. Side effect of medication and structural barrier for intervention (socio economic status, infrastructure) as well as underlying medical condition should also be considered before recommend this intervention to the patients. In others word, exercise intervention is personalized to suit individual situation. For policy Structural barrier may limit patient participation into exercise intervention in mental disorder treatment. It is shown from the studies that patients with mental health have better chance to improve their morbidity when adhere into exercise intervention as adjunct treatment for their underlying psychological problems. Proper guidelines for health practitioners and patients are required for better communication to deliver the information for both. Multidisciplinary approach should be emphasized in this practices which could profound positive impact on patients health and wellbeing. More time is required to deliver and explained this message to patient as the program is personalized to fit individual underlying social and physical wellbeing. Policymakers should consider the implementation of this multidisciplinary programmes approach within their respective treatment facilities. They should also consider to provide better exercise facilities in the community thus as well promotes gree n environment and the establishment of well structured community exercise group program for a long term benefit. There is chances that continuous exercise program could be used as prevention of acquired mental health problems due to life-style changes. More evidence on this is required and with such evidence support, cost benefit or cost effective analysis of preventive exercise intervention in mental health could be established. In long-standing, this could be helpful in reducing pharmaceutical cost for mental health in a country. Implication for research General There are various established measurement used in reporting mental health outcome thus cause difficulties to compare the study results. It is recommended that in research practice for mental health outcome, the measurement should be standardized. Specific It is important in future for us to have a clear define duration, frequency and intensity of exercise program for each mental health disorder; considering the underlying medical and physiological wellbeing of individual. Study on the changes of fitness level due to the intervention is progressively in practices, and in any future research it should be reported in the record. Mental health is a complex discipline where there is no clear cut point of disease and always presented with a comorbid condition of either other mental disorder or chronic diseases. This should as well to be considered in future research especially in intervention study. It is also a challenge in the research of this area to ensure the finding is free from cofounding effect of biological and social diversity in the complex global society. In the end, with the establishment of complete study in mental health area could contributes a better theoretical background to explain the mechanism of this diversification. T his will help as well towards low cost of treatment in mental health disorder in the future. REFERENCES 1. World Health Organization (2005). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: WHO Press. 2. Commonwealth Department of Health and Aged Care 2000, Promotion, Prevention and Early Intervention for Mental Health: A Monograph. Canberra: Mental Health and Special Programs Branch, Commonwealth Department of Health and Aged Care. 3. Australian Bureau of Statistics (2007). National Survey of Mental Health and Wellbeing: Summary of Results. Canberra: ABS. 4. Australian Institute of Health and Welfare (2006). Australias Health 2006. AIHW. Canberra: AIHW. 5. Australian Bureau of Statistic (2008). National Survey of Mental Health and Wellbeing: Summary of Results. Canberra: ABS. 6. Jerome G.J, Young D.R, Dalcin A et.al (2009). Physical Activity Levels of Persons with Mental Illness Attending Psychiatric Rehabilitation Programs. Schizophrenia Research. 2009; 108; 252-257 7. Tart C.D, Leyro T.M, Ritcher A, Zvolensky M.J, Rosenfield D, Smith J.A.J (2010). Negative Affect as a Mediator of the Relationship between Vigorous-Intensity, Exercise and Smoking. Addictive Behaviors. 2010 (35); 580-585 8. Mackay G.J, Neill J.T (2010). The Effect of Green Exercise On State Anxiety and The Role of Exercise Duration, Intensity, and Greenness: A Quasi-Experimental Study. Psychology of Sport and Exercise. 2010; 11; 238-245 9. Perrino T, Mason C.A, Brown S.C, Szapocznik J (2009). The Relationship Between Depressive Symptoms And Walking Among Hispanic Older Adults: A Longitudinal,Cross-Lagged Panel Analysis. Aging Mental Health, 14: 2, 211 219 10. Doyne, E. J., Ossip-Klein, D. J., Bowman, E. D., Osborn, K. M., McDougall-Wilson, I. B., Neimayer, R. A. (1987). Running Versus Weight

Inhibition of Nitric Oxide Synthase Impairs a Distinct Form of Long-Ter

Introduction Nitric oxide (NO), which has demonstrated plasticity regarding processes of learning and memory, has revealed its specific function in memory formation for the honeybee. The predominant amount of NO synthase (NOS) activity has been shown to participate in the processing of olfactory information of a honeybee. A honeybee's antenna (*- Application of appetitive stimuli to the antennae of honeybees elicits extension of the proboscis (PER)) lobes are the primary centers of olfactory processing that exhibit highest NOS activity, which takes place in the brain. The lip of the mushroom body, which is involved in this process, calyces and the lateral protocerebral lobe receives input from the antennal lobs via a median and a lateral pathway; this indicates strong labeling. Neuropils of the central brain exhibited intermediate labeling. The effects of NOS activity on honeybees were revealed injecting a hemoglobin assay. The hemoglobin assay is able to detect NO and other substances (CO, etc.), therefore, these assays reveal at least two signals. By adding NOS inhibitors to the assay mixture, the first signal can be inhibited, but the second signal cannot be inhibited. The second signal includes enzymes other than NOS. Total NOS activity (*- NOS activity: defined as that part of the signal which is sensitive to NOS inhibitors added to the assay mixture) is divided into a major Ca2+ and a minor Ca2+ independent NOS activity which suggested that the existence of at least two NOS isoforms in the honeybee brain. Applying only 1 (l of 100 (l N-nitro-L-arginine or N-nitro-L-arginine methyl ester (L-NAME) 20 minutes inhibits total NOS by 80% (*-show figure 2A). Maximal inhibition of NOS was attained at an approximate conc... ...at MTM (medium term memory) is not affected by the inhibition of NOS, but that blocking the NOS in regards to LTM reduces the LTM to the "level of the single trial-induced memory," (Muller 5). It was further speculated that the NOS activity depends on a sequence of conditioning trials. It was concluded that "the initial conditioning trial leads to an amnesia-resistant LTM, independently of NOS activity, formation of amnesia-resistant LTM by the subsequent conditioning trials requires NOS activity," (Muller 5). NOS plays an important part in the retention of memory, and these findings in honeybees can be used to understand how memory works in other organisms such as vertebrates. References Journal Article Muller, Uli. "Inhibition of Nitric Oxide Synthase Impairs a Distinct Form of Long-Term Memory in the Honeybee, Apis mellifera." Neuron 1996; 16: 541-549.

The Development of Plot in Young Goodman Brown :: Literary Analysis Summary Essays

The Development of Plot in Young Goodman Brown Young Goodman Brown came forth at sunset into the street at Salem village; but put his head back, after crossing the threshold, to exchange a parting kiss with his young wife. And Faith, as the wife was aptly named, thrust her own pretty head into the street, letting the wind play with the pink ribbons of her cap while she called to Goodman Brown. â€Å"Dearest heart,† whispered she, softly and rather sadly, when her lips were close to his ear, â€Å"prithee put off your journey until sunrise and sleep in your own bed to–night. A lone woman is troubled with such dreams and such thoughts that she's afeared of herself sometimes. Pray tarry with me this night, dear husband, of all nights in the year.† â€Å"My love and my Faith,† replied young Goodman Brown, â€Å"of all nights in the year, this one night must I tarry away from thee. My journey, as thou callest it, forth and back again, must needs be done 'twixt now and sunrise. What, my sweet, pretty wife, dost thou doubt me already, and we but three months married?† â€Å"Then God bless you!† said Faith, with the pink ribbons; â€Å"and may you find all well when you come back.† â€Å"Amen!† cried Goodman Brown. â€Å"Say thy prayers, dear Faith, and go to bed at dusk, and no harm will come to thee.† So they parted; and the young man pursued his way until, being about to turn the corner by the meeting–house, he looked back and saw the head of Faith still peeping after him with a melancholy air, in spite of her pink ribbons. â€Å"Poor little Faith!â€Å" thought he, for his heart smote him. â€Å"What a wretch am I to leave her on such an errand! She talks of dreams, too. Methought as she spoke there was trouble in her face, as if a dream had warned her what work is to be done to–night. But no, no; 'twould kill her to think it. Well, she's a blessed angel on earth; and after this one night I'll cling to her skirts and follow her to heaven.† With this excellent resolve for the future, Goodman Brown felt himself justified in making more haste on his present evil purpose. He had taken a dreary road, darkened by all the gloomiest trees of the forest, which barely stood aside to let the narrow path creep through, and closed immediately behind.

My Weekend Essay

It is important for me to share with my family especially on weekends, when all rest from our daily activities, work, studies and responsibilities and so we build a strong relation with our family having fun and doing all kind of activities that involve all of us. This week end is one of my favorite ones because though my family is not as big as many of the families that I know, we do have a lot of fun specially when it comes to watching the base ball game with them, we cheer for our home town team that is doing very good and is playing for the Championship. On Sunday we woke up early had a nice breakfast and then head to church where I also meet with some of my other relatives and so I make much of that little time to catch up on what is going on in their lives and try to work out how we can spend some more quality time together sometime in the week. My father took us for lunch to a nice restaurant for a wonderful lunch, later that evening we all start to get things ready for another week. Spending time with my family is very important to me and also for them and I can say that my father spend a lot of time far from us so whenever he is on holydays we make it more special and we spend all the time we can together and so comes the end of another wonderful weekend with my folks and I am very much grateful for my loving family.